Arden Shore Child And Family Services | |
2504 Washington St Suite 200 Waukegan IL 60085-4983 | |
(847) 662-4464 | |
(847) 662-4530 |
Full Name | Arden Shore Child And Family Services |
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Speciality | Community/behavioral Health |
Location | 2504 Washington St, Waukegan, Illinois |
Authorized Official Name and Position | Jeanette Oliver (QUALITY ASSURANCE MANAGER) |
Authorized Official Contact | 8475491730 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Arden Shore Child And Family Services 935 Lakeview Pkwy Suite 105 Vernon Hills IL 60061-1443 Ph: (847) 549-1730 | Arden Shore Child And Family Services 2504 Washington St Suite 200 Waukegan IL 60085-4983 Ph: (847) 662-4464 |
NPI Number | 1134441173 |
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Provider Enumeration Date | 02/18/2010 |
Last Update Date | 02/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134441173 | NPI | - | NPPES |
2B05CHR018 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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